1. Surgical & medical management of ROCM (Rhino-orbito-cerebral mucormycosis) epidemic in COVID-19 era and its outcomes – a tertiary care center experience.
- Author
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Soni, Kapil, Das, Aparna, Sharma, Vidhu, Goyal, Amit, Choudhury, Bikram, Chugh, Ankita, Kumar, Deepak, Yadav, Taruna, Jain, Vidhi, Agarwal, Ashwini, Garg, Mayank, Bhatnagar, Kavita, Elhence, Poonam, Bhatia, Pradeep Kumar, Garg, Mahendra Kumar, and Misra, Sanjeev
- Abstract
To evaluate the outcome of patients with ROCM (Rhino-orbito-cerebral mucormycosis) following their medical and surgical management. It is a prognostic study based in a tertiary care center in North-Western India. Patients who developed ROCM post COVID-19 infection from 1st September 2020 to 30th June 2021 were included in this study. Surgical debridement and administration of antifungal therapy was done for the post-COVID-19 ROCM patients. Disease progression and survival was studied up to 5 months of follow-up in the second wave. A total of 145 ROCM patients were included. The mean age at presentation, male: female ratio was 48.2 years and 2:1 respectively. As per our proposed new staging system and treatment strategy, the majority of patients belonged to stage II (31.72%) and stage III (31.03%). On a follow-up period of 5 months, 26 (18%) patients have lost their life and rest of the patients are on strict follow-up. ROCM is an extremely aggressive fungal infection which rapidly became an epidemic following the COVID-19 pandemic. The diverse and unique presentation led us to evolve a new strategy to classify and manage these patients. [ABSTRACT FROM AUTHOR]
- Published
- 2022
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